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Home My WebLink AboutXC2023-0029 - Permits�rEWPORT City of Newport Beach D p� Community Development Department- Building Division F k n 100 Civic Center Drive, Newport Beach, CA 9266D Permit Counter Phone: (949) 644-3288 u S Inspection Requests Phone: (949) 644-3255 cq4 coPN`P. newportbeachca.gov/inspections Combination Type - ELEC Work Class - Other COMB Permit: XC2023-0029 X C 0�� II Plan Check No: PC2023-0265 Issued Date : 03/0212023 Inspection Area :7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 1101 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 7 Description: COMM MOVE (E) ENTRY MARKER SIGN 104 FT Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone : (949) 720-3100 Applicant: JAMES BRECK Address: 3187 AIRWAY AVE., C COSTA MESA, CA 92626 Phone: (949)368-3003 Owner/Builder : Address : Phone Contractor: DMK CONSTRUCTION Address : 5665 TRAILSIDE DR, YORBA LINDA, CA 92887 Phone: (714)981-4646 Con State Lie : 1033812 Lie Expire : 12/31/2023 Bus Lie: BT30080746 Bus Lie Expire : 02/29/2024 Workers' Compensation Insurance Carrier: STATE FARM FIRE AND CASUALTY Policy No: 9253792 W. C. Expire : 5/10/2023 Code Edition : 2022 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height: No of Stories Building Setbacks Flood Zone : X Use Zone: PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: Architect: Address Phone : State Lie Engineer: Address Phone: Designer Address Phone : NO Construction Valuation : NO Added/New/TI sq. ft. Bldg 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : $15,000,.9a. 1 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Code: Any city or County that requires a permit to construct, alter. improve, demolish,or repair any structure, prior to its issuance, also requires the applicant for ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Susincss and Irofessions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Any. violation of Section 7031.5 by any applicant for a permit subjects the applicant to a Civil penalty of of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, IUsiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the properly, provided that the nprovements are not intended or offered for sale. If, however, file building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not .poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 1 am exempt from licensure under the Contractors' State License Law for the following reason: _ ly my signature below f acknowledge that, except for my personal residence in which I must have resided for at (east one year prior to completion of the improvements covered by this permit, I cannot iegall oil a structure that I have built as an owner-bulldar if It has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.govlcalaw.btmi. fignature of Property Owner or Authorized Agent _ Date _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section (00) of iv' ion 3 of the Business and Profe�5Ions Code, and my license rs In full force nd effect. License Class License No Date Contractor Signature L, $ 2 • t a 2 ri VORKERS' COMPENSATION DECLARATION rARNING; FAILURE Tn, 9.7CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 13100,0001, IN ADDITION TO THE DST OF COMPEF'SATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I ha+e and wilt mamtaln a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th ofiHmance of the work for which this permit Is issued. Policy No. and wit! m3±-Main workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permitis issued. My workers' carrier and Policy number are: Policy Number of Agent Date J1 Certify that, in tf,e performance of the work for which this permit is issued. I shall notemploy any person In any manner so as to become subject to the workers' compensation laws of California, and gal, L 1 should be-cmc Jubject to the worke,"ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date 3• 2_Za f2 arehy affirm ur.dar Ncnalty of perjury that the m/s a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Idler's Name (/ Lender's Address my signature below. I certify to each of the following: I am the property owner Or authorized to act on the property owner's behalf. I have read this application and the Information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or count enter, 'a above-identifiee/d property for inspection purposes. >/j�- natura of Pronerty Owner or Authorzed Anent n G _ �a.lftii Print Prnnerty Ownar'c or Aidhnh7Rd Anent's NArn._L Q 2� ACTION DATE BY DECLARVION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY l REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED CPA PERMIT FINALI — jG10OT APPLICABLE CERTIFICATE OSECDMOLIT DCUPANCYISSUEA SlNA FV,4 N Cis; # t